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Security of Electronic Health Information

Sets the Agency’s security program for electronic patient information: the security official, the risk analysis and risk management plan, access control with unique logins, role-based access, automatic logoff, encryption, audit logs that record every change or deletion (Cal. Civ. Code §56.101(b)), mobile device rules for staff in the field, backups and a contingency plan, security incident handling, and the documentation the HIPAA Security Rule requires (45 CFR §§164.308-164.316), so that computerized records are protected as 22 CCR §74731(i) requires.

Preview: full text with a package
About this policy
Policy number
CA-HH-PRV-02
Version
1.0
Main rule
22 CCR §74731(i)
Library
California home health · 58 policies
Category
Privacy
Sections
21

In short

  • Use only your own login. Never share your password or let anyone use your device.
  • Keep patient information only in the approved app, not in your photos, texts, or personal email.
  • Lock your screen when you step away, and never leave a device in a patient’s home or in sight in your car.
  • If a device is lost or stolen, or you clicked a suspicious link, call the security official right away.
  • If the system is down, document on the paper downtime forms and enter the notes when it comes back.

What's inside

21 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (22 CCR §74731(i))
  • 5. Security Official and Risk Analysis
  • 6. Access Control
  • 7. Audit Logs and Activity Review
  • 8. Mobile Devices and Working in the Field
  • 9. Office Workstations and Media
  • 10. Email, Fax, and Transmission
  • 11. Backups, Contingency Plan, and System Downtime
  • 12. Security Incidents
  • 13. Vendors
  • 14. Responsibilities
  • 15. Records and Compliance Monitoring
  • 16. Staff Training
  • 17. References
  • 18. Related Policies and Forms
  • 19. Approval
  • 20. Revision History

An inspector may ask

  • Who is your security official? When did you last complete a security risk analysis?
  • How do staff log in to the electronic record in the field, and what happens if a tablet is lost?

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